Insurance/Payors Resource Center

Arthroscopy Surgery Medicare

Medicare Reimbursement for Arthroscopy Procedures Down Almost a Third Since 2000

New study analyzes reimbursement trends for minimally invasive arthroscopic surgery, one of the fastest-growing areas of orthopedics “A Comprehensive Analysis of Medicare Reimbursement to Physicians for Common Arthroscopy Procedures: Adjusted Reimbursement has Fallen Nearly 30% from 2000 to 2019,” printed in the December issue…

CPT

Update on CPT Code 99072

As many clinicians are now aware, The American Medical Association (AMA) published a new Current Procedural Terminology (CPT®) code on September 8, 2020 that accounts for extra provisions to ensure patient and provider safety during a public health emergency.  At that time, they announced that the code is effective immediately: CPT 99072 – Additional supplies,…

CMS Reverses Position, Will Reinstitute Damaging Coding Edits on October 1, 2020

The American Physical Therapy Association recently announced that CMS is moving ahead with damaging coding edits it had previously deleted. This means that it will reverse course and reinstate previously deleted coding “edits” for code pairs that represent common and appropriate physical therapy practice.…